Organization
LIBERTY FAMILY CARE
Active
Parent organization
BAPTIST EASLEY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST EASLEY HOSPITAL
Authorized official
MRS. BEVERLY B MERRY (PRACTICE ADMINISTRATOR)
(864) 843-5605
Entity
Organization
Contact information
Practice address
300 W FRONT ST, LIBERTY, SC 29657-1012
(864) 843-5605
(864) 843-0996
Mailing address
300 W FRONT ST, LIBERTY, SC 29657-1012
(864) 843-5605
(864) 843-0996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801028543
NPI-BAPTIST EASLEY-LIBERTY FAMILY CARE EFFECTIVE 10-1-2009
SC
01
—
GP2653
MEDICAID-PHBE-LFC INEFFECTIVE 9-30-2009
SC
01
—
GP5257
MEDICAID GRP-BAPTIST EASLEY -LIBERTY FAMILY CARE EFFECTIVE 10-1-2009
SC
Enumeration date
05/09/2006
Last updated
03/29/2010
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